DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Adam Jeffrey	DOIID	814698	NAIC NPN	17009386

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	7/16/2013	1/31/2019
Pending	Resident	Agent	Health
Pending	Resident	Agent	Property
Pending	Resident	Agent	Life
Pending	Resident	Agent	Casualty
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	7/23/2013	2/1/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bluegrass Community Bank	698001	Agent - Limited Line Credit	7/30/2013	2/1/2017